Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Azeb Kidane Tkikil, NURSEPRACTITIONER

Individual provider Adult Health Nurse Practitioner · NPI 1679264675

Azeb Kidane Tkikil, NURSEPRACTITIONER is a Nurse Practitioner in Marietta, Georgia. Qualified in 2022, 4 years ago. Practices with Wellstar Medical Group LLC, a 3,072-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

55 Whitcher St NE Ste 350
Marietta, GA 30060-1129
Phone: (770) 424-6893
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 150 Chessington Dr, Alpharetta, GA 30022-4521 — (678) 469-1255
  • 677 Church St Ne, Marietta, GA 30060-1101 — (770) 793-5000

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN278333 (GA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence RN278333 (GA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence RN278333 (GA)

Record details

NPI number1679264675
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedMay 19, 2023
Last updated in NPPESMarch 25, 2025
Certification dateMarch 25, 2025
Mailing address150 Chessington Dr, Alpharetta, GA 30022-4521

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Wellstar Medical Group Llc — 3072 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Marietta